Request for Numident Printout Record To: Social Security Administration OEIO FOIA Workgroup 6100 Wabash Ave P.0, Box 33022 Baltimore, MD 21290-3022, 1 Request for Privacy Act Records This correspondence constitues a formal requ the referenced account as described below: under the Privacy Act (PA), $ U.S.C. §552u fo obtain any and all ecords relating to 1, Please include: 8, The Original Record: $30, b. The Numident Record. $28 ‘Lam requesting copies of records in lieu of personal inspection ofthe requested records. REGARDLESS of the type of record maintained, you are REQUIRED by the Privacy Act to disclose it ome. Tunderstand the penalties provided in S U.S.C. 9552a()(3) for eequesting or obtaining access to records under false pretenses, ‘Tis is NOT a Freedom of Information Act (FOIA) request under 5 ULS.C. 8552 acy attesting under the penalty of perjury under the laws of the united States of America 28 U.S.C. §1746(1) and fiom without the "United States that: a. Tam the ONLY buman being who could possibly be described by the erroneous and false records requested, even though they are being illegally maintsined, in violation of my Fourth Amendment rights, and without my consent 'b, The information and fats identified herein are true and corect wo the best of my ability I cerify that | was ineligible atthe time the $S-5 application was submitted and continue tobe ineligible under the Social Security Act, 42 US.C, Chapter 7, Consequently, Iam tying to prevent a FRAUD upon myself and a fraud upon the Social Security ‘Administration in either paying into or collecting any money. 8, The Citizenship Profile Code (CSP) associated with the Record should be “D” and NOT “A", meaning OTHER. If t indicates ““A®, the record isin er and should be corrected because you have me confused with someone domiciled on federal territory. ‘This has been th case fom the time application was made to the pres 9, understand that any false representation to knowingly and wilfully obtain information from Social Security records is punishable by a fine of not more than $5,000 or one year in prison 10, also understand AND YOU SHOULD 100 that te same $5,000 penalty fr false representation applies tothe FALSE reconds YOU are maintaining which indicate eligibility to participate 11, LO NOT consent to the sharing of this information with any other agency or person within the national government who is ‘outside the Social Security Administration. Below isthe information needed to retrieve te false 1 inaccurate information records which are requested by this communication: Name) (Gocial Security Number) (Date of Birth) Ifyou do not know your Social Security number or the number, please provide the following information: ‘Name! Date of Birth: Place of Birth Mother's Maiden Name: Sex: Father's Name In all eases, also provide the Tollowing “Request for Numident Printout Toft‘Maing Adress Dayiime Phone Number: E.1: There is a fee for obtaining this printout and you must pay the fee with your request. The charge depends on whether you know or do not know the SSN according tothe following: Guide w the FOTA, SSA (n last check, it costs $30 forthe Original Application for Social Security Card, $28 for the Numident, and en additional $10 to have the copy certified. The applicable fer must accompany this request. You may pay by check, money order, or MasterCard, Visa, Discover, American Express, or Diner's Club eredit card. Checks and money orders should be made payable to "Social Security Administration”. If paying by creditcard, please provide the following “Type of Credit Card Card Holder's Name: Assigned SSN (oot appli Card Holders Ada: Daytime Phone Number Amount robe charged: (Credit Card Number ‘Monit Vear of Expiration: NOTE 2: See: Why Vou Aven't Eligible for Social Security, Form #06.001 hp sedm.org/Forms06-A voiding ranchiSSNotEligible.pd 1's but ILLEGALLY assigned to hiner, see NOTE 2 below): 2 Request to destroy any records maintained without my consent BEFORE responding to this request for records remaining AFTER destruction Pursuant to the Privacy Act, $ U.S.C. §552a(b), you must have my consent to disclose records about me and you do not have my ‘consent for anyone other than me to obtain thera or use them for a commercial or civil enforcement purpose, since l am a nonresident who does not consent todo any business with you or have my identity used for a commercial purpose by you. 2. You do not have my permission to maintain ANY records about me, and especially not inthe context of any office or employment within ANY government, state or federal, regulated under 20 CFR. The maintenance of any such records is violation of my Fourth Amendment right to privacy and legally admissible evidence of criminal identity theft on your part 3. Because you do NOT have my consent o maintain such records and doing so is violation of my privacy, hereby request that you! 1, Provide a copy ofthe original SS-S record BEFORE destruction in vour response 2) Destroy ALL Social Securitv records about me after sending the original SS-5 record to me, 433, Retain all records about money paid to you by me oF on behalf of me because it was paid Megally, under duress. ‘3A, Return all monies paid to you by me through involuntary and ILLEGAL payroll withholding. California Civil Code Section 2224 ‘One who gains a thing by fraud, accident, mistake, undue influence, the violation ofa trust, or other wrongful in involuntary trusee ofthe thing gained, for acti, unless he or she has some other and better right there the benefit ofthe person who would otherwise have had you do not do the above, you are in violation of the Privacy Act, and ESPECIALLY any and all soucalled “benefits”. tis ILLEGAL to offer “benefits” in states of the Union, ‘Why You Aven 1 Eligible for Social Security, Form #06.00%, yep sed ong Forms06-Avoiding® ranch/SSNotEligible pdf ie “taxpayer” and “person” within the Internal Revenue Code is syaoaymous wih a public olive in the national but not sed ina federal enclave and domiciled on federal testary under 4 U.S.C. §72. Twas never lawfully 44 state government exe “Request for Numident Printout 2 offlected or appointed to serve within aad DO NOT serve within said government forthe periods in question, and therefore am a victim of eriminal identity theft on your part if you DO NOT correct the records as requited by 5 U.S.C. §552a(0)2). See 4.1, Identity Theft Affidavit, Form #14.020 Innpsulsedm.org/F orms/14-PropProtection entity Theft Affidavit-f14039.pat 42, The “Trade or Business” Scam, Form #05.001 snsps/sedin.ong/Forms/05-Meml_sw/TrndeOrBusSeam.pdf 5, This submission isa request under the Privacy Act for any and all records connected tothe all caps name that you have NOT honored my request to DESTROY. As suc, itis provided to document CRIME on your part, which certainly DOES NOT fll within the auspices ofa “routine use”, but a LAW ENFORCEMENT use, twill bused as evidence of criminal afempts by oto violate my privacy and commit identity theft es described in Government Identity The, Form #05 086 Jnupsisedm,ong/Forms/Formindes, mn nups:/sedm,org/F orms/05-MemLswiGovernmentidentityThef pd 6, Because these records ae being requested fora law enforcement use, any and every allemap io interfere with their Givcloware as the main party affected by ther maintenance hereby constitutes 6.1. Criminal witness tampering. [am the party adversely affected by these knowingly false records, | am a witness to federal crimes they are evidence of, and their maintenance constitutes an attempt to influence end coerse me to criminally impersonate a public officer, which is also a rime. 2. Obstruction of justice. 7. The provisions of law applicable tothe unauthorized use or commercial use of my personally identifying information are ‘covered by the following, which you expressly consent by virtue of mainlaning any and all records about me: Exivacy Agreement, Form #06014 ‘nupsilsodm.orp/Forms/Formtndex him Jnupsisedm org/Formsi06-AvoidingFranch/PrivacyAgreement pat Your response to this request should include list of records destroyed or no longer in existence because they were destroyed in response fo this request. Anything inthis correspondence not EXPRESSLY rebutted under penalty of perjury with evidence shall be I Procedure deemed admitted forall future interactions in court relating tothe false records you are maintaining. Federal Rule of Ci ONO. A failure to destroy or any effort to retain any records about me, to pu them to commercial use, or to dislose them to any thind party, government or other agency including the Internal Revenue Service shall result in constructive consent to obey the following license agreement government commercial or beneficial use of information about me: ‘Taj Defense Franchize and Agreement, Form #06027 Ips: sedm om/Formsi06. AvoidingFranch/InjuryDefenseFranchise pat 3 Consequence of providing NO RECORDS in response to this request In the event that you respond to admission by you request with NO RECORDS, such an action shall constitute legal evidence and « formal 1. Any records that mate my name are not meas a human being 2. Tdo.not consent to the obligations ofa civil statutory “taxpayer” or “person 2.1, Yowhave no lawful authority wo waite statutory definitions that affect OTHER people's private, constitutionally protected rope without either proving try consented na way ey specty or proof ht you ave an ownership inthe ropery affeto 22. Ifyou disagree about my civil statutory status asa “taxpayer” or “person”, please WRITTEN express and voluntary consent to assume the duties ofa civil statutory ‘ownership interest in my privat, constitutionally protected property 3, Tae records relate to the OWNER of the franchise mark, which isthe Social Security Number. That owner i the Commissioner of Social Security under 26 C.F R. §422,103(@) andthe information printed onthe back ofthe card, who is also personally responsible for al injuries thet propersy might inflict to my absolutely owned private property rovide in your response either etson” or “taxpayer” or proof of an "UA franchise entails the right 10 operate a business that is “identified or associated with the Jranchisor's ‘or commodities that are ide associated with trademark, or to offer, sell, or distribute goods, ser the franchisor’ trademark." The term trademark” i intended to be read broadly to cover not only trademarks, bru any service mark, trade name, or other advertising or commercial symbol. Ths is generally referred to as the "wademark” or "mark elem “Request for Numident Printout SoftThe franchisor [the government] need not own the mark itself; but at the very least must have the right to Teense the use ofthe mark 1 others. Indeed, the right to use the franchisor's mark in the operation ofthe dusiness = either by selling goods or performing services identified with the mark or by using the mark, in whole or i part, in the business' name - is an integral part of franchising. Infact a supplier can avoid Rule coverage of a particular distribution arrangement by expressly prohibiting the distributor from using lis [PIC Franchise Rule Compliance Guide, May 2008, SOURCE: hip: business fi gowdocuments/bus0- franchise rule-compliance-guide] 4. Any attempts to enforce against me personally are a product ofthe crimes documented in Afidavt of Duress- egal Tax Enforcement by De Facto Officers, Form #02.005 Jnpsisedm.org/Forms/02-Affidavits/ATTOMDuress-Tax pdf Sincerely, Signature Date “Request for Numident Printout Foft